Document Detail

Acute renal failure following physical torture.
MedLine Citation:
PMID:  8459879     Owner:  NLM     Status:  MEDLINE    
Ten cases of acute renal failure (ARF) were seen in the period from July 1990 to August 1991 in the Nephrology Department of the SIMS Hospital, Srinagar. All were males in the age group of 18-28 years and in apparent good health when apprehended by the police. There was alleged history of physical torture of different types. All had been beaten on the buttocks, back and limbs; in addition, 2 cases had been given repeated electric shocks and 1 case put to 'sit-and-stand' exercise for about 3 h. The interval between the first day of torture till they came to our observation varied from 4 to 11 days. The main clinical features at the time of presentation were generalized aches and weakness (10), oligoanuria (9), vomiting (8), hypertension (6), acidosis (10), facial puffiness and pedal edema (6), fever and shivering (3), pulmonary edema (2), stupor (4), and hyperkalemia (5). All the cases had an established ARF (serum creatinine 668-1,997 mumol/l and serum urea 21.8-71.8 mmol/l) when first seen. Muscle enzymes, creatine phosphokinase, lactic dehydrogenase and serum glutamic oxaloacetic transaminase were all significantly raised indicating rhabdomyolysis. All showed evidence of myoglobin casts in urine. Nine had oliguric and 1 had nonoliguric ARF. All except the 1 case with nonoliguric ARF were managed with peritoneal dialysis and/or hemodialysis. All recovered. Early recognition of ARF is important since the main attention in such cases is directed towards the surgical aspect.
G H Malik; I A Sirwal; A R Reshi; M S Najar; M Tanvir; M Altaf
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Nephron     Volume:  63     ISSN:  0028-2766     ISO Abbreviation:  Nephron     Publication Date:  1993  
Date Detail:
Created Date:  1993-04-27     Completed Date:  1993-04-27     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0331777     Medline TA:  Nephron     Country:  SWITZERLAND    
Other Details:
Languages:  eng     Pagination:  434-7     Citation Subset:  IM    
Department of Nephrology, Sheri-Kashmir Institute of Medical Sciences, Srinagar, India.
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MeSH Terms
Electric Injuries / complications
Hyperkalemia / etiology
Kidney Failure, Acute / blood,  diagnosis,  etiology*
Myoglobinuria / etiology
Oliguria / etiology
Rhabdomyolysis / blood,  diagnosis,  etiology

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